This case study reports the management of hearing loss in a patient with Alzheimer disease (AD) living at home with a spouse care giver. The report highlights the interaction between symptoms associated with AD and hearing loss and the lack of data regarding remediation of hearing loss in this population. Specifically, the case illustrates the modifications in evaluation and verification of the hearing aid fitting that may be advisable when working with patients with AD. The data for this patient illustrate some novel measurement techniques that may assist the professional in documenting the impact of treatment in this population.